Thecla Bolger, RNNNP in Mesa, AZ - Medicare Nurse Practitioner

Thecla Bolger, RNNNP is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in Mesa, Arizona. Her current practice location is 1400 S Dobson Rd, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 512-5131.

Thecla Bolger is licensed to practice in Arizona (license number RN046467) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558503201.

Contact Information

	Thecla Bolger, RNNNP
	1400 S Dobson Rd, Mesa, AZ 85202-4707
	(480) 512-5131
	Not Available

Map and Direction

Provider's Profile

Full Name	Thecla Bolger
Gender	Female
Speciality	Nurse Practitioner - Neonatal, Critical Care
Location	1400 S Dobson Rd, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558503201
Provider Enumeration Date: 03/26/2009
Last Update Date: 01/29/2010

Medicare PECOS Information:

PECOS PAC ID: 2365856721
Enrollment ID: I20210126000790

Medical Identifiers

Medical identifiers for Thecla Bolger such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558503201	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	RN046467 (Arizona)	Primary
363LN0000X	Nurse Practitioner - Neonatal	RN046467 (Arizona)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Thecla Bolger allows following entities to bill medicare on her behalf.

Entity Name	Hushabye Nursery
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265079560 PECOS PAC ID: 3678990470 Enrollment ID: O20200825001871

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thecla Bolger is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Thecla Bolger, RNNNP 1400 S Dobson Rd, Mesa, AZ 85202-4707 Ph: (480) 512-5131	Thecla Bolger, RNNNP 1400 S Dobson Rd, Mesa, AZ 85202-4707 Ph: (480) 512-5131

Reviews and Comments

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Thecla Bolger, RNNNP - Medicare Nurse Practitioner in Mesa, AZ